| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1710 N Elm St, Denton, Texas |
| Authorized Official Name and Position | Michael Obeng (MANAGER) |
| Authorized Official Contact | 4023932726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4245 S 143rd Cir Ste 7 Omaha NE 68137-4519 Ph: (402) 393-2726 | 1710 N Elm St Denton TX 76201-3093 Ph: (940) 514-1999 |
| NPI Number | 1912419862 |
|---|---|
| Provider Enumeration Date | 11/01/2017 |
| Last Update Date | 11/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912419862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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